Individual provider Active NPI

Amanda Therese Wuebben, FNP-BC

  • Family Nurse Practitioner
  • Monroe, MI
National Provider Identifier
1871097212
Registry record updated Jun 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704302511 Issued in MI
Practice address
313 Stewart Rd
Monroe, MI 48162-4393
Phone
(734) 755-9713
Fax
(734) 535-8119
NPI assigned
Mar 21, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 30, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X 4704302511 MI Primary

Addresses

Primary practice location

313 Stewart Rd
Monroe, MI 48162-4393

Mailing address

313 Stewart Rd
Monroe, MI 48162-4393
Phone (734) 755-9713

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180524001510 MI Practitioner - Nurse Practitioner 1557626470 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Nicholas Boggs DO PLLC Single Specialty CurrentSince Oct 5, 2024 Accepting new patients
Beaumont Medical Group- Specialty Services Single Specialty CurrentSince Sep 14, 2018 Accepting new patients

Locations

28100 Grand River Ave
Ste 301
Farmington Hills, MI 48336
Phone (947) 521-1320

313 Stewart Rd
Monroe, MI 48162
Phone (734) 244-5560

5452 Fort St
Ste 200
Trenton, MI 48183
Phone (734) 642-2295

Interoperability endpoints

  • Direct secure messaging: amanda.wuebben.1@30817.direct.athenahealth.com
  • Direct secure messaging: amanda.wuebben.1@11144.direct.athenahealth.com
  • Direct secure messaging: awuebben552455@direct.hfhs.org

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1521590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751241600000",
    "number": "1871097212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "313 STEWART RD",
            "city": "MONROE",
            "state": "MI",
            "postal_code": "481624393",
            "telephone_number": "734-755-9713",
            "fax_number": "734-535-8119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "313 STEWART RD",
            "city": "MONROE",
            "state": "MI",
            "postal_code": "481624393",
            "telephone_number": "734-755-9713",
            "fax_number": "734-535-8119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WUEBBEN",
        "first_name": "AMANDA",
        "middle_name": "THERESE",
        "name_prefix": "Mrs.",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-03-21",
        "last_updated": "2025-06-30",
        "certification_date": "2025-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704302511",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, MI

Sources for this page

Verify at the official NPI Registry.